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RIDLEYS PHARMACY #8442
NPI 1124155577
Pharmacy - Community/Retail Pharmacy in Middleton, ID

Active since February 27, 2007CLIA 13D2019663 · Waiver
430 E MAIN ST, MIDDLETON, ID 83644(208) 585-2900(208) 585-3057 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2018, May 10, 2018, May 17, 2016 (3 updates tracked since 2016).

About Ridleys Pharmacy #8442 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIDLEYS PHARMACY #8442 (NPI 1124155577) is a healthcare organization registered as a community/retail pharmacy in Middleton, Idaho and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Todd Wise, Pharmacy Coordinator, as its authorized official.

NPPES Registry Identity

NPI1124155577
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRIDLEYS FAMILY MARKETS INC
Location Address430 E MAIN STMiddleton, ID 83644-3036
Mailing Address621 Washington St STwin Falls, ID 83301-5519 · (208) 324-4633 · Fax (208) 324-1190
Phone(208) 585-2900
Fax(208) 585-3057
Organization SubpartNo
Authorized OfficialTodd WisePharmacy Coordinator · (801) 358-3365
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 19, 20183 updates tracked since enumeration
✔ NPI 1124155577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in ID · 1494RP
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
430 E MAIN ST, Middleton, ID 83644
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Other Names 1

Doing Business AsRidleys Pharmacy #8442

Other Identifiers 2

Other2021735Pk
Medicaid805772400ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2019663

Ridley's Pharmacy #8442 · Middleton, ID
Active · expires Feb 2, 2027
CLIA Number13D2019663
Laboratory TypePharmacy
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorTodd R. Wise Pharmd
Laboratory Phone(208) 585-2900
Laboratory LocationRidley's Pharmacy #8442403 E Main, Middleton, ID 83644
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
46 services45 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
40 services39 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIN-FOO SAM LEE PHARM D
Pharmacist
430 E MAIN ST
MIDDLETON, ID 83644
Canyon County (208) 585-2900
ABBEY L. MAYES PHARMD
Pharmacist
430 E MAIN ST
MIDDLETON, ID 83644
Canyon County (208) 585-2900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ridleys Family Markets Inc's NPI number?

The NPI number for Ridleys Family Markets Inc is 1124155577. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Ridleys Pharmacy #8442.

Where is Ridleys Family Markets Inc located?

Ridleys Family Markets Inc is located at 430 E Main St, Middleton, ID 83644. The listed phone number is (208) 585-2900.

What is Ridleys Family Markets Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Ridleys Family Markets Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2019663) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ridleys Family Markets Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Ridleys Family Markets Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ridleys Family Markets Inc was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.